Complaint Investigation Report

Regarding the allegation of staff are not keeping accurate medication logs, it was determined that facility staff did not accurately log R1’s MARs when medication is dispensed. Based on review of R1’s MARs for the month of September 2022, there were multiple dates with missing staff signature. According to staff S4 and S5 who corroborated that the medication was provided to R1, but staff did not complete the MARs as required.

As a result of this investigation, the Department finds the allegations above to be Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited on the LIC 9099-D, per Title 22 Regulations.

Exit interview was conducted, a copy of the report, LIC 9099-D and appeal rights were provided.